Archive for the ‘Discussion Board Archive’ Category

Slovak doctors earn less than the employees of the National Health Insurance Agency.

Wednesday, October 26th, 2011

The employees from the National Health Insurance agency in Slovakia (VšZP) have a better salary than doctors, informs the first page of PRAVADA under the title “The doctor earns less than an employee of the Health Insurance Agency”.

In some cases their pay is greater with over 70Euro. An employee of the Health Insurance Agency earns about 918.5 Euro, while a doctor form the Bojnice hospital earns about 910 Euro.

The National Health Insurance Agency is a bit more generous with its employees regarding their premium offer in June, when they handed out bonuses worth over 491.000 Euro. On the other hand, the state clinics didn’t offer anything, because of the lack of funds.

VÅ¡ZP in comparison with any state clinic registers higher expenses regarding their operating system.

Source of the article here:

Specialist Doctors on the verge of extinction

Tuesday, October 25th, 2011

“Specialist Doctors did not receive their money from the National Health Insurance Agency (CNAS) since the month of May, in these conditions they will no longer be able to continue their activity”, underlines a press release form 9th of August, stated by the Alliance for Health in Romania (APSR).

“In two years since the program SIUI was implemented – instrument that accounts for the medical services delivered by the doctors and the value of payments to doctors – it demonstrated that it has many errors and especially faces much resistance from the County Health Insurance Agency (CJAS), maintenance and updating is performed inadequate and the database is obsolete.

These problems lead to the destruction of the specialty ambulatory, when the normality of the situation would represent helping them to diversify and thus lead to lower costs and an efficient management of funds “, sais Cristian Hotoboc, the president of the Alliance for Health in Romania.

According to the press release, the specialists doctors that signed the contract with CNAS, based on which they have to be paid, is made ambiguous, because there is no legal way to prosecute the counterparty on its contractual obligations.

Also, Dr. Cosmin Alexandrescu, Vice President of ASPR, warns of the actual danger of the disappearance of the specialty ambulatory. “Simultaneously, we find the unreasonable delay of payments from the Health Insurance Agency – the last payments made were in the month of May – and, respectively, the increase by 50 times the royalties required by the PMB for the spaces in which doctors have their medical practices.

Probably, the position on the market is wanted only for the big health care chains, which have a greater capacity for negotiations and are more easily influenced by the Health Insurance Agency.”

Source of the article: “”- magazine nr.76 7-8/


Tuesday, October 25th, 2011

The Hungarian government is trying to tame the wave of medical doctors leaving the country by offering them money to stay. But as the application deadline approaches, few have expressed interest in the government scheme.

Under the program, Hungarian doctors can receive 100,000 forints ($530) net on top of their monthly salaries for a period of 5 years. This means the doubling of their wages during that time. In return, the program’s participants have to make a commitment to practice medicine in Hungary for at least 10 years and to never accept any gratuity money from patients, a widespread practice in Hungary.

“We have begun a battle for souls,” state secretary in charge of health care, Miklos Szocska, said on private television HirTV.

But it appears that the initiative has fallen well short of the originally expected 600 professionals. Fewer than a hundred career-starting doctors have so far preferred some extra pay over the possibility of working abroad, according to Hungarian daily Nepszabadsag. The ministry announcing the scholarship noted that there were also 11 pharmacists applying. Due to the low turnout the ministry has extended the scheme hoping that more doctors would be willing to get involved.

“Residents are skeptical about the scholarship and only about 10 people (within the association have shown any interest in applying”, Magor Papp, head of the Hungarian medical residents association, told local news agency MTI.

Career starters apparently don’t want to make such commitments because they don’t see that their livelihoods would be guaranteed once the five years on a double salary are over. A survey conducted by the association fund that 74% of new medical graduates are planning to work abroad.

The migration of doctors is quickly becoming an acute issue for Hungary’s healthcare system in general. Some 1,500 medical professionals are missing in the county, which threatens the stability of the system. The situation could soon turn even worse.

A survey conducted by the Hungarian doctors association found that 6.000 doctors and residents are considering leaving Hungary unless their salaries go up. Residents also launched a campaign in which they deposit their resignations at an attorney. The documents are to take effect at the end of the year unless the government is willing to increase their pay.

Doctors want to get a 100% increase in their salaries, which would take 200 Billion forints in total. But the rise would still mean they’d be making less than the European average, they say. Hungary’s medical residents now earn in the range of 80.000 forints to 100.000 forints net, while the average net salary in the country was 140.300 forints in June.

Source of the article here:


Tuesday, October 25th, 2011

Like governments the world over, Hungary is seeking ways to rein in spending on health care. If anything, the problem may be even more acute for the Fidesz party-led Hungarian government, which has the highest debt-to-GDP ratio in Central and Eastern Europe and aims to trim its budget deficit to close to 3% of GDP this year.

The government and the country’s pharmaceutical industry are at loggerheads on how to best tackle the issue of bringing down the roughly 340 Billion forints (1.84 billion dollars), or 1.4% of GDP, Budapest is spending on subsidizing drugs. While the government proposes to cut the subsidies, the pharmaceutical lobby suggests levying a new tax to help raise the money to keep the subsidies flowing.

While the industry’s proposal will do little to address the issue of outsized spending on healthcare, the lobby does address an important issue. They want the extra tax income to be spent on higher wages for physicians and other healthcare professionals.

Hungarian doctors including job starters, have been leaving the country in increasing numbers to seek higher wages elsewhere in Europe. Some of them work part-time in neighboring Austria or even hop on a plane to work weekends, or for a week or two each month in the U.K.

Latest data from Hungary’s health care license office, or EEKH, shows that 1,777 health care workers requested a license to work abroad last year, more than twice as many as just four years ago. Within that, the number of doctors wanting to work abroad totaled 1,111, double, again from 2006. The most popular country of destination was the UK, followed by Germany, Austria, Ireland and Sweden.

Those aged between 25 and 44 were most keen to go abroad in recent years, but the numbers pf those hardly out of med school also started rising sharply.

While those numbers may seem low, the departure of doctors for better pay elsewhere is reducing Hungary’s quality of health services. The number of doctors per 1000 Hungarians was 3.1 in 2008, Organization for Economic cooperation and Development figures show, ranking Hungary above Finland, the UK and Japan. Not to mention the doctors training costs to the taxpayers.
Faced with the prospect of relatively poor pay, many of those doctors who have the opportunity and the ability are opting to leave.

Dentists, gynecologists, plastic surgeons or dermatologists – those who can have a private practice – can live well-off. Not least, because they can take in patients from abroad who travel to Hungary because of the relatively cheap service there. But an anesthesiologist or a radiologist – who can hardly conduct a practice outside the mostly state-run health sector- has not much choice. Many doctors have become drug sales agents for a higher wage, a company car and other benefits.

A specialized doctor earned a gross HUF 4.18 million, or 20,700 dollars a year in 2009, data from the National Employment Service NFSZ show. That’s the official figure, but wages are so low that many health care workers do accept additional payment, untaxed and illegal, termed parasolvency, from their patients, who feel obligated and ready to pay extra in hope for extra care.

The government has turned down the drug association’s proposal to use the extra tax to raise health sector wages. The number of doctors wanting to work abroad will likely continue to rise and parasolvency will remain an accepted form of gratitude for doctors and nurses.

Are you affected by this situation?

Is it the same in your country?

How will this affect your future?

Are you a doctor that wants to work abroad because of these reasons?


Tuesday, October 25th, 2011

The “cult of the doctors” was always concerned about the beauty of the human body…

Step by step it’s fading, under our indifferent eyes, the cult with a history of thousands of years. The medical practice implied keeping the state of health, without directives and reforms from any authority, only trough self-knowing and under the old Latin saying: “Mens sana in corpore sano”

Correspondingly, the “cult of the digestive tract” is gaining more and more ground in the ranks of all Romanians, claiming victims of all ages. Thus, the grill has become a national sport, accompanied by the beer, and this “Sport” is imposed by travel agencies to seduce tourists.

Interesting enough is the fact that beer drinking and grilling has nothing to do with the Romanian tradition…

Looking at the city it is sad and frightening. The children are fat, the adults are fat, the old are fat, and they are struggling to carry their heavy mutilated bodies by all the extra fat, forcing their joints to carry the extra load.

So what is to be done?

It is evident to see that the cause of the population’s obesity is not the financial crisis, high unemployment or the government. – it is in fact the uncontrolled and unbalanced alimentation.

Cardiovascular diseases – myocardial infraction, stroke, hypertension – have as the primordial factor obesity. Just to make things clear… is it all in the hands of the doctor? Where is the self-responsibility that every person should have for his body, his health and of course his own children.

Recently I met a colleague and his wife that moved in the USA 30 years ago. After the natural joy of meeting each-other he asked me if I am suffering, as he noticed that I lost weight. They on the other hand have added a surplus of extra pounds, despite of diets. I told them that, thank God, I lost 15 kg only trough self-control, by taking long walks. I also told them that the only recipe is your own will.

I don’t know if they believed me, but in that moment I felt like a doctor.

Dr. Sebastian Nicolau


Tuesday, October 25th, 2011

Recruiting agencies, the starting-point for any job-hunt

The key in finding a good work-place is in knowing the job market. If you would dissect the job market a bit you would realize that there are two methods for finding a job: directly and indirectly.
The direct method involves a response to a notice given by the employer, and the indirect method involves either appealing to different connections you may have in your field of work, attending various job fairs, searching on-line, or you can submit your resume to various companies, even if they do not offer a job at the time.


Contrary to what you may think, recruitment agencies do not charge to register your CV in their database. Besides this advantage there is also the economy of time and energy. Basically the agency works for you, selecting from the multitude of job-offers available on the market that are better suited for your needs and profile. If you decided to start your job-hunt by cooperating with a professional agency, this is how the system of such a company works. Initially you have to submit your resume to an agency, afterwards you will be asked to participate at an interview in order to identify your points of interest. Once this stage is completed, you will be presented with a list of jobs that would fit your profile. Once you are interested in at least one of the job-offers, the consultant will submit your data to the employer in your name and make arrangements for an interview with the employer.

WHAT TO DO TO JOIN A AGENCY’S DATABASE? IT IS SIMPLE! Just look for placement agencies specialized in your areas of interest and contact them! Visit a few of them and compare services offered and the way they treat you. THIS IS IMPORTANT!

For a young person it is more advantageous to use a recruitment firm. It boosts the chances of finding a job-opportunity quickly. First, you get advice that will help you to build confidence in your own resources, you will benefit from help with your resume, and also will be couched in how to present yourself at a job interview. Also you have the chance to find a serious job, because recruitment companies reserve the right to select the companies they work with and provide any information about these to the candidates.

If you are a doctor and in search for a medical career in Germany, France, Sweden or Norway don’t hesitate to send us your resume:

Doctors and Society

Tuesday, October 25th, 2011

From the eyes of Doctor Dan Pahontu

“I wouldn’t have written the following text if in the last few days the media would not have published an article that calls into question the moral integrity and professionalism of the whole social body – that of doctors, occurring in a context in which the media’s central debating alleged failure on all sides of a respectable medical personality in its nineties.

You don’t have to be too keen to notice that the mass media’s frequent articles and discussions in print or audio-video format depict the “guild of doctors” as the source of the most unpleasant problems of society. Romanian doctors have become scapegoats. He either demands bribes, leaps into medical negligence or malpractice.

Far From my intention in any way is to excuse the brutality, incompetence or, God forbid, criminal acts that must be firmly charged by press and society. Maybe not accidental is the interest of young performance capable people in medicine than it was let’s say 20 years ago. WHAT KIND OF DOCTORS AND HEALTH CARE SYSTEM WILL ENSURE OUR HEALTH IS AN ISSUE THAT I THINK WE SHOULD WORRY ABOUT MORE AND MORE. IT IS AS IMPORTANT AS THE SOCIETY AT LARGE AS WELL AS OUR DECISION MAKERS.

It is hard not to think about the young doctors who, after six hard years of college, after five, six or seven years of residency, have a salary of 520 Lei per month (about 125Euro/month). They are often married!!!

There is no social support. I remember the times when doctors, after being assigned a job, they would also get a home and a pay comparable with other budgeted positions.
Seems as even the respect from peers was different, and this despite the stubbornness with which most of them remain in their country to work in conditions rightly described MISERABLE, in a HEALTH SYSTEM THAT FAILS TO BE MENDED BY JOURNALISM. But how can we speak of respect when the current pension system is an injustice that I would not hesitate to qualify as cynical towards our fellow retirees. But that is another story.

Of course, the blame for this situation belongs to a large extent to doctors and their organizations. Medical envy, as it’s easily seen in newspapers and on television, breeds monsters.

I finish this article with hope for better times in which measure and respect can govern the Romanian society as well as the Romanian health-care system.”


Tuesday, October 25th, 2011

Without constant recruiting of foreign doctors East Germany would have no sustainable medical care. Although the Federal Chamber of Physicians is not considering it permanent solution, Saxony, Thuringia and Co. go on promotional tours in countries such as Austria, Hungary, Poland, etc. in order to attract foreign doctors.

If the television series “A Country Doctor” did not exist, it would have had to be invented for this place. The town Waldheim is a province in the best sense, idyllically situated on the river Zschopau, located right between Chemnitz, Dresden and Leipzig. The houses around the square beam freshly renovated, the town hall along with its tower lights in the sun, and diagonally across the street on a two-story house is a brass plate: “Dr. Peter Laub MD, specialist in general medicine.”

“It was love at first sight between me and this place”, says Dr. Laub. A year ago I took over the practice here in Waldheim Niedermarkt, after moving here from Hungary at the age of 39. The fact that he is from Hungary is easy to notice from his accent and from all the Hungarian professional books on his desk. Practice is of course entirely in German. “I’m getting better with each passing day,” he says proudly. Laub is a stocky, jovial man who pursues his work in jeans and a blue shirt, but by wearing a stethoscope around the neck he makes it clear who’s the doctor.

Laub grew up in Budapest, where he studied medicine and worked at the university hospital as a pediatrician, and six years in his own practice. But the city became too much, it was loud and hectic, and the stress added by the madness of the Hungarian health system had to end: “The bureaucracy is worse than here, you get no help, but penalties are immediate if we cross over the budget”. In school, Laub learned German and English, and he really wanted to follow a colleague to Great Britain, just as a agency invited him to a roud trip to Bavaria, Thuringia and Saxony.

They looked at medical practices that sought an urgent successor, and as Laub and his wife Waldheim saw, they quickly knew that they wanted to stay: “We immediately decided!” His predecessor had been there for years, unsuccessfully looking for a successor and continued to practice despite age and health problems. It took half a year, until Laub had all his permits and approvals for Germany. After that he moved with his wife and three children from Budapest to Waldheim. The next day there was a grand opening celebration, attended by the mayor, fellow doctors, directors of the surrounding hospitals and of course the patients.



Tuesday, October 25th, 2011

I don’t believe that in Romania there exists a more humiliated professional class than that of the doctors. Underpaid, poorly equipped, the media’s favorite targets, always too few and lately those who work in healthcare have become also targets of serious physical violence.

The case of the stretcher bearer stabbed in Cluj is not an isolated incident. We had such cases in many hospitals in the country, including the ambulatory University Hospital in Bucharest. The life of ambulance drivers and of the medical staff is now seen as an extreme sport and most aggressions they are subjected to are no longer even news.

Doctors have to face the worst from their patients. Why? Because they represent the first line of Romania’s healthcare system, a system full of holes that often brings out the pain, despair, frustration and anger from the patients.

It is normal to get angry when you have to wait too much for the Ambulance, consultation or surgery, when the procedures are too complicated or you’re being transferred back and forth between wards and hospitals. It is frustrating to know that there are no drugs and that you have to bring your own cotton from home.

But health professionals are the last to blame! On the contrary, they are also victims of the system. Much is expected from understaffed hospitals in which doctors have to follow procedures invented by authorities that have little or no idea what happens in an emergency receiving unit.

Mistakes are made most often because the medical staff is overworked, the equipment used is outdated and the medical team is understaffed. Doctors are not happy about taking bribes. It is humiliating for de receiver as well. Bribes are the result of small wages that are not direct proportional with the huge work responsibility.

For a lot of doctors in Romania “self-exile” is the solution for the torment and humiliation. We can’t blame them! The prospect of better wages, state of the art equipment and of course respect makes more and more doctors to choose a medical career abroad.


Source of the article here:


Tuesday, October 25th, 2011



Berlin 25.08.2011

The President of the Federal Chamber of Physicians, Dr. Frank Ulrich Montgomery wants to combat the shortage of physicians in the country with a change in licensing regulations. We want to send as many as possible students to train for a few weeks to a country doctor’s office or in a rural hospital,” said Montgomery to the Dusseldorf “Rheinische Post” (08/25/2011).

“This requires the licensing regulations to change so that the medical associations will be involved in the care of medical students.” Those who get their education in the rural areas, tend to settle in the rural areas.

Montgomery also called for a reform that involves the financing of the health system. “A well financed health care system needs a mix of funding allocation, tax subsidies, and in my personal opinion, a stock of capital,” he said. “The capital stock should be fueled by a premium of the insured. We need to finance the health system so that it is less dependent on the economy and also responds to the demographic development.”

Montgomery für Medizinerausbildung auf dem Land

Berlin, 25.08.2011

Der Präsident der Bundesärztekammer, Dr. Frank Ulrich Montgomery, will den Ärztemangel auf dem Land mit einer Änderung der Approbationsordnung bekämpfen. „Wir wollen möglichst viele Studenten für einige Wochen zur Ausbildung in eine Landarztpraxis oder in ein ländliches Krankenhaus schicken“, sagte Montgomery der Düsseldorfer „Rheinischen Post” (25.08.2011). „Dafür muss die Approbationsordnung so geändert werden, dass die Ärztekammern in die Betreuung von Medizinstudenten eingebunden werden.“ Wer im ländlichen Raum seine Weiterbildung gemacht habe, lasse sich auch eher im ländlichen Raum nieder.

Montgomery forderte zudem eine Reform der Finanzierung des Gesundheitssystems. „Ein solide finanziertes Gesundheitssystem braucht einen Mix aus Umlagefinanzierung, Steuerzuschüssen und nach meiner persönlichen Meinung einem Kapitalstock“, sagte er. „Der Kapitalstock sollte sich aus einer Prämie der Versicherten speisen.“ Zur Begründung sagte Montgomery: „Wir brauchen eine Finanzierung des Gesundheitssystems, die weniger von der Konjunktur abhängig ist und auch auf die demografische Entwicklung reagiert.“

Source of the article here: